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Compliance & Regulations

This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.

Insurers, Republicans Square Off With Biden On Medicare ‘Cuts’

The insurance industry and Republicans are using the debt ceiling fight and President Biden’s vows not to cut Medicare to fend off changes to private Medicare Advantage plans, which are popular among the public but have faced criticism about their costs to the government. So far this year, the Centers for Medicare and Medicaid Services ...

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Amazon Closes $3.9B Buyout Of Health Company One Medical

Amazon said Wednesday it has closed its $3.9 billion acquisition of the primary care organization One Medical. The e-commerce giant has said the buyout, which was announced in July, is a key component of its growing health care business, which includes its online drugstore Amazon Pharmacy and a patient to doctor messaging service called Amazon Clinic. One ...

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Single-payer and the long game

 It looks like California’s single-payer dreams will be delayed at least another year. After suffering a devastating blow in the Capitol last winter, advocates had been eager to reintroduce legislation that would create a first-in-the nation, state-run health care system.

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Senators Question Why PBMs ‘Even Exist’ In Heated Hearing Amid Push For Reform

Senators pilloried the lack of transparency from pharmacy benefit managers during a hearing Thursday, as lawmakers hope to pass reforms this session.

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Senate Panel Launches Effort To Shore Up Health Workforce And Ease Crippling Shortages

A key Senate panel is launching a major effort to shore up the healthcare workforce after lingering shortages have roiled the industry. The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing Thursday on addressing the crisis. Some of the policy solutions include expanding the Graduate Medical Education program and growing teaching health ...

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Reported HIPAA Complaints And Breaches Shot Up From 2017 To 2021: HHS

A report released on Friday found that HIPAA complaints and breaches spiked between 2017 and 2021, with the agency in charge of handling the notices saying it lacks sufficient resources to properly respond. The Health Information Technology for Economic and Clinical Health Act requires the Department of Health and Human Services (HHS) to submit an ...

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FTC Crackdown On GoodRx Sends A Message That Private Consumer Data Must Be Protected

Since 2017, GoodRx has helped millions of people find deals on prescription drugs via an app and website. But what its customers may not have known is that the Santa Monica-based health company had also been sharing information about their prescriptions and illnesses with third parties such as Google and Facebook for advertising purposes.

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‘We Ain’t Gonna Get It’: Why Bernie Sanders Says His ‘Medicare for All’ Dream Must Wait

After railing at the injustices of U.S. health care for decades, Sen. Bernie Sanders in January became the new chairman of the Senate Health, Education, Labor & Pensions Committee. The job gives the health care industry’s biggest Washington nemesis an unprecedented opportunity to shape health care reform in Congress.

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HHS Releases New Guidance Implementing Key Medicare Drug Rebate Program

The Biden administration rolled out new guidance to drugmakers for meeting a new requirement to dole out rebates if their prices on Medicare Parts B and D go above inflation. The guidance, released Thursday by the Department of Health and Human Services (HHS), implements a key part of the Inflation Reduction Act passed last year. ...

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‘That’s Not A Republican Plan’: McConnell Distances GOP From Scott On Social Security, Medicare Sunset Plan

Senate Republican Leader Mitch McConnell said any idea on sunsetting Social Security and Medicare belongs to Sen. Rick Scott—not the GOP. “Unfortunately, that was the Scott plan, that’s not a Republican plan,” McConnell said on a Kentucky radio program. McConnell’s comments about Scott, a GOP rival, come as the White House continues to spotlight how Republicans heckled — and apparently committed ...

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